Angela L Glenn

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2019005397 Issued in MO

Practice address

2101 Corona Rd Ste 102
Columbia, MO 65203-2582

Phone

(573) 234-1800

NPI assigned

Mar 4, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CH Specialty Services Mo LLCGroup PAC ID 0345614459, 108 clinicians

Curana Health of Missouri-Kansas LLCGroup PAC ID 4789716531, 143 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations (25 of 41)

Interoperability endpoints

• Direct secure messaging: angela.glenn@bhm.gehrimeddirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CH Specialty Services Mo LLC

  • Internal Medicine Physician
  • Lee's Summit, MO
  • NPI 1194422253
  Medicare reassignment Care Compare group NPD
• Curana Health of Missouri-Kansas LLC

  dba Elite Patient Care

  • Family Medicine Physician
  • Lee's Summit, MO
  • NPI 1306165337
  Medicare reassignment Care Compare group NPD
• Barnes Health Care Management Group LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Columbia, MO
  • NPI 1396999686
  Medicare reassignment NPD
• Barnes Health LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Columbia, MO
  • NPI 1275219073
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1407314990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CORONA RD STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032582",
            "telephone_number": "573-234-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CORONA RD STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032582",
            "telephone_number": "573-234-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4055 Valley View Ln",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752445074",
            "country_code": "US",
            "telephone_number": "636-699-7070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Eldorado Dr",
            "address_purpose": "LOCATION",
            "city": "Moscow Mills",
            "state": "MO",
            "postal_code": "633621401",
            "country_code": "US",
            "telephone_number": "636-699-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLENN",
        "first_name": "ANGELA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019005397",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2019005397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP",
            "identifier": "2019005397",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela.glenn@BHM.gehrimeddirect.com",
            "affiliation": "N",
            "address_1": "2101 Corona Rd Ste 102",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652032582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Giving Song LLC
• Grant Glabe
• Elisabeth Glass, MS, RDN, LD
• Aaliyah Gleason
• Hannah Gleason, FNP-BC
• Charles Francis Glenn
• Kayla Marie Glenn, MA, LPC
• Melanie Doerflinger Glenn, M.D.
• Victoria Glenn, RD, LD
• Wesley Glenn

• Nurse Practitioner in Columbia, MO
• Providers in Columbia, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.